Donation Request

Moos Place Homemade Ice Cream is committed to giving back to our community. In the past, Moos has supported great organizations such as the NHSPCA, Make a Wish, St Thomas Aquinas/Nights' of Columbus blood drive, Sonshine Soup Kitchen, New Hampshire Food Pantry, The Upper Room, Derry and Hampstead Library Summer reading programs, Derry Little League and the Miss New Hampshire Scholarship program. Each season Moos Ice Cream helps many local community organizations reach their fundraising goals. We try to grant as many requests as our donation budge allows.

All Donation requests MUST be made on this form. This form must be filled out in full, submitted and received by us no later than three (3) weeks before your event. A decision will be made on your request no later than one week prior to your event. Due to the number of requests we receive each season we are unable to approve everyone every year. Please do not contact us regarding the status of your request. If your request is approved we will contact you to get all the details. Thank you and good luck with your event!

Event Date:

Name of your organization:*

Are you a non-profit organization ?:

Yes

No

If yes, what is your 501(c)(3) Number ?:Description of your event and its location ?:*Donation requested ?:*Contact Name:*Address Line 1:*Address Line 2:*City:*State:*Contact Email:*Contact Phone number:*

Date received/by:

Message:*

Leave blank:

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